French Language Training Program PEI Public Service Commission Registration Form

Fields marked with a red star (*) are mandatory.

ALL FIELDS MANDATORY, INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED

First name:*

Last name:*

Employee ID:*

Job title:*

Home address:*

Phone:*

Home/Cell:*

Business E-mail:*

Please check your Department/Agency/Board/Commission:*Teachers are not eligible for funding under this program but may communicate directly with the French Programs Coordinator at 902-438-4859.
**For these government institutions, please provide an email or letter confirmation the 50% contribution from your employer. See guidelines for more details.

If you have taken French language training other than French Immersion, please list.:

Where do you prefer to take your training?:

Charlottetown
Summerside
Deblois
Montague

Please check for which of the following you would like to register:Please note: Levels will be offered if there are enough registrations in any region. If there are not enough registrations in your preferred region for your level, you will be placed on a waiting list for the fall session.

Attendance and reimbursement policyStudents must attend 8 out of 11 classes in a session. If more than three classes are missed, students must reimburse 50% of the cost ($125). If you must withdraw, please contact the fund administrator at 902-368-6175.

I have read and understand the attendance and reimbursement policy:*

Collège de l’Île Email Marketing Consent Form as per Canada’s Anti-Spam Law Regulations and Requirements (CASL) effective July 2014.

I herby certify that I have given my express consent to receive:

:

Follow-up and reminder emails in regard to my French Language Training (FLT)
Email newsletters
Emails regarding program announcements
All of the above emails on behalf of the French Language Training (FLT) Department at Collège de l’Île.

Please send me a simple text-only version of the information I submitted.

Please send me an Acrobat version of the form,
with the information I've entered above filled in, that I can print and save.

Please send me both the text-only version and the PDF.

Important Note: Email is not, by its very nature, a secure medium; if you choose
to have your form emailed to you, the information you entered will be transmitted
over the public Internet to your email box.

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will receive this file shortly.

This information has been taken from the website: Forms URL: http://www.gov.pe.ca/forms/display.php3?formnumber=1448

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